Michael D Traylor, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4559 Issued in AZ

Practice address

13925 W Meeker Blvd BLDG a
Suite 6
Sun City West, AZ 85375-4430

Phone

(623) 544-9600

Fax

(623) 544-9602

NPI assigned

Oct 20, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1922181429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13925 MEEKER BLVD. BLDG A,",
            "address_2": "SUITE 6",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "85375",
            "telephone_number": "623-544-9600",
            "fax_number": "623-544-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13925 W MEEKER BLVD BLDG A",
            "address_2": "SUITE 6",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754430",
            "telephone_number": "623-544-9600",
            "fax_number": "623-544-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAYLOR",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "4559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tawnya Marie Thurman, CPHT
• Linda Kaye Tipton, ANP-C
• Jack E Tobey, CRNA MS
• Annette Tomaska
• Linsy Angela Townsend, PA
• Toyo Atasse Trenou, D.O.
• Owen Trinh, DMD
• True Care Fala MD
• Heather Elizabeth Trujillo, NP
• Shikha Tuli, MD

• General Practice Dentistry in Sun City West, AZ
• Providers in Sun City West, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.